P Praxis·MD
● Active Type 2 · Organization

Kingdom Mobile Lab Services Llc

Technician, Pathology·Douglasville, GA· NPI 1700555018 · Enumerated 2021 · 4 years on NPI
Kingdom Mobile Lab Services Llc is 1 of 307 technician, pathology organizations in Georgia.
NPI age
4 years
Enumerated 2021-09-09
Primary specialty
Technician, Pathology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
McCloud
Owner
Last NPPES update
2021-09-09
Source: monthly bulk 2026-05

How this organization compares

Across 307 active technician, pathology providers in Georgia.

NPI age
4 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
7674 Mountain Creek Way
Douglasville, GA 301343783
📞 6783682745fax 6783065637
Mailing address
7674 Mountain Creek Way
Douglasville, GA 301343783
📞 6783682745fax 6783065637

Authorized official

Keesha M McCloud
Owner
📞 6783682745

Specialties

  • Technician, Pathology Primary
    Definition to come...
    taxonomy 246RP1900X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Kingdom Mobile Lab Services LLC
    Type code 3 recorded 2021-09-09

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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